NPIMap

Individual provider Active NPI

Avidan Rappaport, MD

  • Anesthesiology Physician
  • Englewood, CO
National Provider Identifier
1902871494
Registry record updated Feb 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
44521 Issued in CO
Practice address
333 W. Hampden Ave. Suite 600
Englewood, CO 80110-2336
Phone
(303) 761-5646
Fax
(303) 761-9280
NPI assigned
Feb 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 44521 CO Primary

Addresses

Primary practice location

333 W. Hampden Ave. Suite 600
Englewood, CO 80110-2336

Mailing address

333 W. Hampden Ave. Suite 600
Englewood, CO 80110-2336
Phone (303) 761-5646

Other identifiers 1

IdentifierTypeStateIssuer
91702577MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, IL, MI3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20060822000356 CO Practitioner - Anesthesiology 5890737142 Reassigns benefits to 1 organization
I20240930002840 IL Practitioner - Anesthesiology 5890737142
I20251002000365 MI Practitioner - Anesthesiology 5890737142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
US Anesthesia Partners of Colorado IncGroup PAC ID 6002072055, 472 clinicians

Practice addresses (Care Compare)

100 Michigan Ave NE
Grand Rapids, MI 49503-2560

100 Michigan St NE RM
280 Corewell Health Medical Group West
Grand Rapids, MI 49503-2560
Phone (616) 267-0115

4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600

501 E Hampden Ave
Swedish Medical Center
Englewood, CO 80113-2702
Phone (303) 438-3999

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
44521COMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Health Primary Care Partners Anesthesiology CurrentSince Sep 14, 2025 Accepting new patients
US Anesthesia Partners of Colorado Inc. Anesthesiology CurrentSince Mar 1, 2016 Accepting new patients
Spectrum Health Primary Care Partners Current Accepting new patients
Central Dupage Physician Group Past Accepting new patients
CHI Health Clinic Physician Enterprise-Anesthesia LLC Anesthesiology Past Accepting new patients

Locations

501 E Hampden Ave
Englewood, CO 80113
Phone (303) 788-5300

333 W Hampden Ave
Ste 600
Englewood, CO 80110
Phone (303) 761-5646

8000 E Maplewood Ave
Ste 120
Greenwood Village, CO 80111

7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786

10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297382400000",
    "number": "1902871494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W. HAMPDEN AVE. SUITE 600",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801102336",
            "telephone_number": "303-761-5646",
            "fax_number": "303-761-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W. HAMPDEN AVE. SUITE 600",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801102336",
            "telephone_number": "303-761-5646",
            "fax_number": "303-761-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPPAPORT",
        "first_name": "AVIDAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-20",
        "last_updated": "2011-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "44521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "91702577",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.